ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260915*1609*^*00501*000050960*0*P*>~
GS*HS*52095*52095*260915*1609*1487113239*X*005010X279A1~
ST*270*000050960*005010X279A1~
BHT*0022*13*000050960*2609258*1609~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*DURST*JENNIFER****MI*69230845~
DMG*D8*19711021*F~
DTP*291*RD8*20260915-20261214~
EQ*42~
EQ*30~
SE*14*000050960~
GE*1*50960~
IEA*1*000050960~